Loading...
Permit 11 ,i CITY OF TIGARD ELECTRICAL PERMIT 111 COMMUNITY DEVELOPMENT Permit #: ELC2012 -00061 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2012 Parcel: 1 S134DD00100 Jurisdiction: Tigard Site address: 10559 SW TIGARD ST 53 Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2 Project Description: (4) branch circuits for ductless heat pumps in units 53, 54, 55 & 56 . Contractor: PREMIER ELECTRICAL INC Owner: RICHARDS, JAMES E & SHARON S PO BOX P BY NORRIS & STEVENS CORVALLIS, OR 97339 621 SW MORRISON ST #800 PORTLAND, OR 97205 PHONE: 541 - 758 -4284 PHONE: 503 - 624 -9856 FAX: 541 - 758 -4433 FEES Quantity Description Date Amount 4 crt Branch Circuits wo /Purchase 01/27/2012 $78.44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 01/27/2012 $9.41 Type of Use: MF Electrical Class of Work: ALT Type of Const: Occupancy Grp: R -2 Total $87.85 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OA :52-00 -1190. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: + Permittee Signature: vN /ae_./e� /mod ^7 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent, OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit Application 7 ` FOR OFFICE USE ()NIA ,A. . t c) • Cl Of Tigard Received �./ Permit No, /-- () 2 � D ueBy: / ;.2 42 �' C��'Cr` (JDO6 Ili w 13125 S W Mall Blvd., Tigard, OR 972 Plan Rcvic J Phone: 503.718,2439 Fax' 503, 5. 8. 0 A r i.% Date/By; Other Permiy�rD /2 _ pogo" . I IGAI 0 Inspection Line: 503.639,41 75 w � qs N. Date Ready /liy; J rin // /�I Sec Page Z fpr y Internet: www.ttgard-Ur.gov \P, \� \ r P O Notified/Method: (7 Supp lemental Info . n+ar;nn — � 7r .. r •. . w � �r ...r r . r�rt: ' � r. r.. K art er Cw + rnr r'i . !1G' i �. z ^ .r(!n' �' y thl y, ?..: y }pY * - f .! Yr r I' ` f�f`' 'tI'" '�. ;Ir � WY'� I I' {� Ti}{n(xwiq�,rla s t'4r V r� `j r l ��!"{ i� a I'r`L ��.`: "I., '(; f�ill r0g'I� 4, 1 } / � it tJ,,r�" {it's ;i" 1" r ! 4 r��!'(. l c,.).1,i�}.�i 4 '!, 4 •��1lOi�l;%1r1d) 1 ; IZEIwir�!i i rYI�JiJiYl �tl� earii1 • i�,tf�t,�.. il, .41 {Et,6 :gldit ' .1 a ,'.1tb A .l!�..ar +. tt• ., ti,,ilN0 � � ❑ New construction El Addition / alteration /rC}3 }}> t pie. cheek ell thn! apply (submit j sets of pl: n% w /items checked below)! El Demolition ❑ Other: .V ❑ Surviec or feeder 400 amps or more 0 Building Over three 14 ii . ` where the avnilable faun current C Marinas and boatyards. IMO r ,t r ,t I .fl r a14r { eas t n q I I, r y. r M p t ` I , `' "" )1 e xceeds 1 0,000 amiss at 1 SO volts or Floating buildin 4{10. 1 �112. l �l i 1 r $ � H t f f � (c u rR� $ c ri�l ,Iq o i �l t i� { hi ii w„! S a 0 I l y ,, {{f t f� I, {; ,�'' f l�.�q t � f , ��(� F i i 1 C Ys, i,t 8) t Y srbt a � { R t a t hl'/.! 111W ER l(l1 I. P,dl � 1 Icei to ground, or exceed% 14,000 0 Commercial -use astricutwral © 1- and 2- family dwelling I Commercial /industrial 0 Accessory building amps for all other installations. buildings, ® Multi family © Master builder 0 Other: 17 Fins pump. 0 installation of 75 K VA or ���rl '� yiii " ' t "4 i I! jri r r via n .11 , . [r r IV^ . tmr; ^ MO 1114.11 �, caeca 41 r i1g0 i 7 , t, t 0Emergency system, largor separately derived systom. tl Ii�i2�ir I1N;E� ,f 1. ?fhdfl �l,2tS t lxilliVJ V y,l v A,v n �i+x9Y, /Ik�rri c t ' ra � • , 0 i ��Ei �g' a�1 49 �' moral 0 Addition of' new moor load of 0 .. A„ "E", a, -2 " "1. :••. Si i l� ° sl 1' h fi 100111' or more. occupancy. Job no -: Job silt address: 10559 SW Tigard ST 53 ltaatvational v eh;dc parks. in SO( or more rasidemial mute. ❑ p" City /State/ZIP: Tigard, OR 97223 ❑ I t facilities, 0 Supply voltage for rarOTO than © Hazardous locations. 600 volts rtOnlinal. Su ile/bld ./a t. no.; Project name: / / V 6 d 0 Service or feeder 600 amps or more �''r $ P Ml L a 1i1" : 9 tii� i llwyl. 'r,`�'!l � °a, .?' t ;3i4�iiR' pt ? l �u(?k�44�� Cross street/directions tionS t0 job site: 4 D �—��f E�/� o al iii • New residential single- or multi - family dwelling unit. Includes attached garage. _ Subdivision Lot no.: 1.000 sd_ft or Inv, 168.54 4 Ea, add•l 500 sq. fl. or portion 33.92 1 Tax map /parcel no . Limited energy, residential rnrywwJrl,r y tt!rlgft r wu aw a)h1j lyi MIT ( WI WISH above St R. 75'90 2 MEMO/VT i �i�l� r M'j t: M, t;,role;� I rtr a '> t ;tu Ylr iris li i � :1i1 I Ili : Limited energy, multifamily 75.00 2 Electrical for heat pump installations: Units 53, 54, 55, 56 residential (,th above sq. R,) - Services or feeders installation. alteration, and/or relocation 200 amps or lees 100.70 2 M r mY 4wrna ra t er r , i t ! v N•d t Ifr t 133.56 2 tt l Y lh r i,,Rry �' 0� � ) u . ,, raid a il fi lli1i! G �; 441 h.)'Cl�ttl l t 201 amps to 400 amps (6 , IPI r:ahn�(t10 ilfl lot,i Y. ,.14�rnnb ^`li6A I �.1. , rt t ( 49 114',( . udr:I�PJuII�EI td rl " 401 amps to 600 amps 200.34 2 Namc: 381,04 2 601 amps to 1,000 amps Address: Over 1,000 amps or volts 552.26 2 . Temporary service` or feeders installation, alteration, and /o • City/State /ZIP: _ relocation Phone: ( ) Fax: ( ) _ ___ 200 amps or Icsc 59,36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not -- 401 amps to 599 amps 168,54 2 intended I'or sale, lcasc, rent, or exchange, according to ORS 447, 449, 670, and 701. ' Branch circuits - new, Alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits wlrh r1 a a, e . a , ! r S rt A ' rr, ntW " I. , r{ ' fwr{ r r above service . or feeder toe, 7.42 2 x fr d�l�Jy '(, l�t ftl �,i, .u'a( , o , �,I 6 � : 1 9i �A 1 • ) F t , t1'- .,1' y't) rtrt4,, f4f��1 } each branch circuit Business name: B. Fee for brunch circuits without service or feeder fec, first 1 56,18 56 2 Contact name: branch circuit Each ndd'I branch circuit 3 7.42 22.26 2 Address: Miscellaneous (service or feeder not included) Each manufactured or modular 67 -84 2 City /State/ZIP: dwelling„ service and/or feeder Phone: ( ) Fttx:: ( ) Reconnect only 67,84 2 Pump or irrigation circle 67,54 2 E -mail: Sign or outline lighting 67.84 2 ,! h I!r y,1 i14r, p I „ r' 1 "t71 w( r 44 r )' 11!' p 1, l rr!i9fr i` 4 ' )' p , ESE ' u � f!!111�3apr! � 1W1��l�tlln�: 1w1Fm,!f .aad trlN.all;,ll�tl�lAll�� l 4� if #,�MY,r6r�rYdUI It}it.,!{,1,1111'IMI4E — Signalarc :tiara)orlimited«aner6y el, al or extension. isa ,e 2 2 Each additional inspection over allowable in any of the above Address: PO Box P Additional inspection (1 lsr rein) 66,25/ hr investigation (1 hr min) 66.25/ hr (:ity/S,tatc/ZlP: Corvallis, OR 97339 Industrial plant (I hr rain) 73.15/ h r Phone: (541) 758 -4284 Fax: (541) 758 -4433 Inspections for which no fee is 90,00 / hr s• citicall listed 'Vz hr Inn CCB Lic.: 151749 Electrical Lie,: 2 -84C Suprv. Lic.: 4933S 201E 3 i l' i illMTE. < eGl.`l 0, is Airlt&'a` 4 3g gag F ` l Subtotal: 78.44 Supra, Electrician signature, required: — Plan review (25% of permit fee): - Print name: Rob Bloom bate: 1/23/12 State surcharge (12 %ofpermit fcc); 9.41 _ TOTAL PERMIT FEE; 87,85 Y Authorized signature: s This permit application expires if a permit is not obtained within 180 days after it has liven accepted in Complete. Print name: Date: .. ■ Number or inspections allowed per permit. 1r\Duild.ng \parmits\CLC -ro(n lrApp.doc 07/01 /l0 440- 461ST(11 /05 /COMM/LD • OZ00 /1 T00 1 DI2I1Dd'Id 2Idlliiak' CCI7685LTi75 XVd Aid SZ : Z ZTOZ /CZ /T0